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arguments for reconciling prognostications with facts.
If the patient lives when otherwise he should die, he
never loses his best free roulette app lucky privilege of talking back. His
family and friends forget the joy of his recovery, often
in spite of fate, in the satisfaction of getting even with
the pnysician who gave up his patient so prematurely.
The sympathies are always on the side of the man who
wins, and, while no one regrets his reason for felicita-
tion, the absence of one less witness against us might
under other circumstances be borne by us with becom-
ing resignation. The lesson is learned too late, that
of saying and promising too much, and in thus doing
more than our real duty to our patients. When we
MhlJlCAL RECORD.
[January- 2, 1897
cannot control the causes of disaster, it is worse than
folly to predict results. If we mistake a seventy-year
clock for a twenty-year one, the pendulum in the former
generally swings on until it runs clown in its own reg-
ular way. It is the vital pendulum, after all, that must
be studied, and until it actually stops it is never safe
to say what is or what will free roulette strategy tester be. bally roulette slot machine for sale
In all our relations with our patients, it is the safer
and better rule to be more than cautious in our temp-
tations to think slot roulette aloud in free roulette online their presence. A discrete
general guards his line of possible retreat with as
much care as that of attack, concluding that while it
is quite bad enough to be defeated, ii is still worse to
be hopelessly bagged by the enemy. roulette free game flash The older prac-
titioner need not be told that the practice of his art is
constantly beset by startling surprises. Patients not
only get well who should die, but many die without
ostensible scientific reasons. To reconcile these con-
stantly recurring experiences makes him an ever-ready
trimmer to circumstances and an adept diplomatist
with shifting fortune. While apparently knowing
everything, he finds it eminently fitting his actual po-
sition to know little and say less. The loophole of
expediency is as essential to vegas casino-slot roulette play roulette free 888 him as are his advice and
prescription to his patient. He learns to be aston-
ished at nothing and always on the lookout for the
unexpected. A sudden death is always explained with
greater plausibility by the man who never declares his
positive prognosis than by the one who has previously
committed himself to its impossibility. So also with
a doubtful diagnosis. It is always wiser to wait and
see the eruption than on general reasoning to promise
its appearance, to be sure that pus is present before
risking a city tap. The qualifying " if" comes in
everywhere and every time. If the patient does not
die, he may live; if pus is not present, the signs are
simply misleading; if the case is not one of measles,
the clinical history is wrong and the patient has not
been exposed; if it is not diphtheria, the bacteriologi-
cal examination is at fault; if the wound does not
heal, the sutures were not thoroughly aseptic. When
nothing is promised, nothing is expected. We must
balance download game farm frenzy 3 russian roulette + crack one condition by the other, and the more
evenly we do this the less often will the physician be
charged with what he cannot reasonably help. A
guarded mouth never needs to explain why the foot
dropped in.
YAWS.
Most readers probably have an indefinite idea as
to what constitutes the disease termed "yaws." They
know the term as a synonym of frambcesia, and are
aware that the latter name is derived from the re-
semblance which the fungus-like outgrowths or vege-
tations hear tfree roulette games no download into the
etiology. Indeed, unless the student has come from
one of these far-off lands himself, he will scarcely be
able to give a good description of the affection or
shed light upon its behavior with or without drug
administration. It is therefore with considerable sat-
isfaction that we see the term " yaws" at the head of
an article bearing the name of Sir Jonathan Hutchin-
son, in The Medical Press and Circular of November
18, 1896. The writer here expressed the conviction
that there slot roulette game is no such disease as yaws, and he asserts
that he has long been of the opinion that the latter is
simply syphilis modified by climate and race.
The term frambcesia, he recalls, was applied to out-
breaks of syphilis in Scotland many years ago, when
the eruptions were associated with papillary over-
growth giving the appearances which were thought to
resemble let's vegas casino-slot roulette photos raspberries. Frambcesia-like eruptions are
met with in syphilitic subjects at the present time in
England, and lesions of a granulomatous nature are
not uncommon in European syphilitics.
If a negro with yaws starts across the bookies roulette machine for sale Atlantic, his
disease develops into unmistakable syphilis before he
has been long on his voyage. This is the reason that
cases do not arrive in England to become the subject free roulette strategy system
of scientific investigation. While not admitting the
identity of the disease with syphilis, farm frenzy 3 russian roulette free online game many physicians
in countries where it flourishes admit the efficacy of
mercury. Reinfection is admitted for yaws, but the
same free roulette games download is true of syphilis, and in the literature of the
subject the distinguished author finds no differential
feature which clearly points to the disease in question
not being syphilis.
The Charing Cross Hospital in London is said to
be in financial straits, and the hospital authorities
have made a modest appeal to the charitable public
for half a million dollars to get them live roulette free bonus out of their
distress.
A Medical Report Without the Sanction of the
Medical Staff. — We have received a document signed
by the entire consulting medical staff of the Hebrew-
Sheltering Guardian Orphan Asylum, viz., Carl Beck,
M.D., W. T. Alexander, M.D., Henry S. Oppenheimer,
M.D., James G. Wallach, M.D., H. T. Brooks, M.D.,
George free roulette online ipad H. Fox, M.D., A. T. Swan, M.D., William S.
Gottheil, M.D., stating that the medical report in the
recently issued annual report of the said asylum was
made without the knowledge or consent of the medical
officers of the institution (!). The consulting medical
board desires to disclaim all responsibility therefor.
Who then is capable of bearing the responsibilitv ?
The doctor is growing to be a useless appendage even
to a let's vegas casino-slot roulette cheat hospital !
Christmas in the Hospitals. The Polyclinic Hos-
pital was destroyed by tire, which spread from a burn-
ing factory in the rear, on Christmas morning. There
were fifty-five patients in the building at the time, but
.ill were removed in safety to a neighboring hotel.
Two bodies ot patients recently dead were also re
moved without accident. In the afternoon of the-
same day their was a small fire in St. John's Guild:
1 rei Hospital Eoi Children in West Sixtj first Street.
January 2, 1897]
MEDICAL RECORD.
19
It was extinguished by means of a few pailfuls of
water and very little damage was done. There were